Individual
MR. PRESTON J FAVORITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2550 BELLE CHASSE HWY, GRETNA, LA 70053-6758
(504) 362-9010
(504) 362-9070
Mailing address
2550 BELLE CHASSE HWY, GRETNA, LA 70053-6758
(504) 362-9010
(504) 362-9070
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/16/2023
Last updated
01/31/2023
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